Student Status Change Request Form

Current Campus*

Program Level*

Degree-Concentration*

Example: MBA-Accounting

Student Services Email.

Registrar Email.

Printed Name:*

First NameMiddle NameLast Name

Student ID*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

IMPORTANT NOTE: Requesting to add additional courses will result in an increase in tuition and fees. Payment is due at the time of course registration. Students receiving Title IV funds should consult the Student Financial Services Office to discuss the impact of all changes on financial aid eligibility, both now and in the future. Changes will be subject to program availability, course availability, and catalog (volume and number) in place at the time of change.

CHANGE OF PROGRAM: A student may request a change of program. However, some credits earned while enrolled in the former program may not transfer to the latter because of curricular differences. Students are strongly advised to seek advice from the program chair or Dean prior to changing programs. Written permission of the Academic Dean or designee is required if students change programs more than once.

COURSE LOAD: The normal course load for full-time undergraduate students is four courses per semester (12 credits), two courses in one session and two courses in the other. Students require permission from the Dean of Undergraduate Studies to take an overload. Students with a cumulative grade point average (CGPA) of 3.00 or higher may request permission to register for more than four courses per semester. The normal course load for full-time graduate students is two courses per semester (6 credits), one course in one session and one course in the other. Full-time graduate students who have demonstrated high academic achievement may request permission from the Dean of Graduate Studies to register for additional courses. These course load limits include courses being taken simultaneously at other institutions.

Acknowledgment*

I acknowledge that I have read and understood the Important Note, Change of Program, and Course Load policies outlined above.

****Select (X) the option(s) that apply and fill out the section with the required information****

CHANGE OF IMMIGRATION STATUS (FOR INTERNATIONAL STUDENTS)

Previous immigration status:*

Current immigration status:*

Current status start date:*

CHANGE OF PROGRAM/CONCENTRATION

Change Program from*

to*

CHANGE OF PREFERRED CAMPUS

Change my preferred campus to:*

ADD/DROP COURSE(S)

Add/Drop Course

Requests are reviewed by the Academic Team and Student Financial Services Department
Changes to the schedule may result in additional charges.

	Drop Course	Year-Session	Add Course	Year-Session
Course 1
Course 2

Reason for change*

COURSE WITHDRAWAL

Course Withdrawal

If withdrawal is BEFORE 5th week of classes, students will receive a W grade on the transcript. If withdrawal happens after, students will a WF grade.

	Year-Session	Course Prefix, Number & Title	Session Start Date	Last Day Attended
Course 1
Course 2

Reason for change*

By checking the boxes below:*

I am requesting the changes above and understand that changes are subject to all regulations and obligations as detailed in the University of the Potomac Catalog and the Enrollment Agreement.I understand I am responsible for all financial obligations as detailed in the University Catalog.

IMPORTANT MESSAGE:*

Please note that when requesting a program change, it is required for students to indicate a concentration for the program they are changing to when applicable. Failure to do so will delay the processing of your request. Concentrations can be found on the University website listed under the programs tab.

Student Signature*

Date:*

Office Use Only

Printed Name/Signature

Student Services: _______________________________ [ ] Approved [ ] Denied